Active NPI
Carlos Alberto Correa Roman, MD
- General Practice Physician
- Manati, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24649
- Practice address
- Manati Medical PLZ
Manati, PR 00674-5507 - Phone
- (787) 621-3700
- NPI assigned
- Jan 22, 2025
- Last updated
- Jan 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24649 | PR | Primary |
Addresses
Primary practice location
Manati Medical PLZ
Manati, PR 00674-5507
Mailing address
Ciudad Jardin 3 Calle Roble 88
Toa Alta Puerto Rico
Toa Alta, PR 00953
Phone (787) 412-1014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55884548 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Ave Santa Juanita
7 Urb Sunny Hills
Bayamon, PR 00956
Ciudad Jardin 3 Calle Roble
Suite 88
Toa Alta, PR 00953
M7 Calle
Suite 11
Bayamon, PR 00957-6817
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24649 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto de Medicina Avanzada Sunny Hills CSP | Current | Accepting new patients | |
| Neuroepilepsy LLC | Current | Accepting new patients |
Locations
B7 Ave Santa Juanita
Bayamon, PR 00956
Phone (787) 269-2641
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Bayamon, PR
- NPI 1154399673
-
- Epilepsy Physician
- Guaynabo, PR
- NPI 1942197504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1083426514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CIUDAD JARDIN 3 CALLE ROBLE 88",
"address_2": "TOA ALTA PUERTO RICO",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-412-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MANATI MEDICAL PLZ",
"city": "MANATI",
"state": "PR",
"postal_code": "006745507",
"telephone_number": "787-621-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA ROMAN",
"first_name": "CARLOS",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-22",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "24649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55884548",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
- Heidee Michalle Cordova, MD
- Corporacion Fondo del Seguro del Estado
- Corporacion Las Vegas Inc (Clinica Terapia Fisica Y Rehabilitacion del Norte)
- Corporacion Las Vegas, LLC
- Corporacion Profesional de Servicios de Salud (Grupo Medico de Manati)
- Javier E Correa Roman
- Kenneth Alexis Correa I
- Alfredo J Corretjer, MD
- Juan Carlos Cortes Melendez
- Deborah Cosme Torres, PH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.